Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $938.88 / $2,527.31	Facility		$100.00	$938.88	$2,527.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $604.42 / $709.19 / $854.97	Professional		$604.42	$709.19	$854.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,669.00 / $36,315.22 / $63,311.75	Facility		$3,669.00	$36,315.22	$63,311.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.04 / $953.49 / $1,475.35	Professional		$556.04	$953.49	$1,475.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $654.41 / $654.41 / $654.41	Facility		$654.41	$654.41	$654.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $745.57 / $1,182.10 / $1,879.11	Professional		$745.57	$1,182.10	$1,879.11
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $636.54 / $1,001.42 / $1,964.71	Professional		$636.54	$1,001.42	$1,964.71
United Facility/Professional Facility Modifier Low / Median / High Price $12,399.00 / $12,399.00 / $12,399.00	Facility		$12,399.00	$12,399.00	$12,399.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,004.50 / $1,774.60	Professional		$741.31	$1,004.50	$1,774.60
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $514.85 / $566.34 / $720.79	Professional		$514.85	$566.34	$720.79